EBP Summary
Evidence-Based Practice (EBP)
• EBP refers to using the best available evidence for decision-making &
providing efficient & effective care for patients on a scientific basis (Scott
& McSherry, 2009).
• EBP is established as a fundamental element & key indicator of high-
quality patient care (Lehane, et al., 2019).
Many definitions but they all include three parts:
1) Research-based information
2) Clinical judgment based on expertise
3) Patient preferences
2
The Johns Hopkins Nursing EBP
Model
3
Practice Question
Step 1: Recruit an interprofessional team
Step 2: Define the problem (1 of 3 areas)
Step 3: Develop and refine your EBP question (PICOT)
Step 4: Identify your stakeholders
Step 5: Determine responsibility for project leadership
Step 6: Schedule team meetings
4
Searching for Evidence
Step 7: Conduct internal and external search for evidence (PRISMA)
5
Searching for Evidence (Cont.)
Step 8: Appraise the level and quality of each piece of evidence
6
Searching for Evidence (Cont.)
Step 9: Summarize the individual evidence (use the Literature Review Grid)
Step 10: Synthesize overall strength and quality of evidence
Step 11: Develop recommendations for change based on evidence synthesis
7
Translation into Practice
Step 12: Determine fit and feasibility of recommendations for translation plan
Step 13: Create action plan
Step 14: Secure support and resources to implement action plan
Step 15: Implement action plan
Step 16: Evaluate outcomes
Step 17: Report outcomes to stakeholders
Step 18: Identify next steps
Step 19: Disseminate findings
8
References
• Lehane, E., Leahy-Warren, P., O’Riordan, C., et al (2019). Evidence-
based practice education for healthcare professions: an expert view.
BMJ Evidence-Based Medicine, 24, 103-108.
• Scott, K. & McSherry, R. (2009). Evidence-based nursing: clarifying the
concepts for nurses in practice. J Clin Nurs, 18, 1085–95.
• Upstate Medical University (2023). Johns Hopkins Nursing Evidence-
Based Practice.
https://guides.upstate.edu/c.php?g=1023176&p=7411225
